A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?
"It is best to take the PPI with your meals to enhance its effectiveness."
"You should take the PPI on an empty stomach, preferably 30 minutes before a meal."
"You can take the PPI at any time of the day, as long as it is taken consistently."
"Taking the PPI before bedtime is most effective for managing nighttime acid reflux."
The Correct Answer is B
Choice A reason:
Taking the PPI with meals is not the most effective timing for acid suppression. PPIs work best when taken on an empty stomach.
Choice B reason:
This statement is correct. PPIs are most effective when taken on an empty stomach, about 30 minutes before a meal. This allows the medication to be absorbed and inhibit acid secretion in the stomach before food intake.
Choice C reason:
While consistency in medication timing is important, taking the PPI at any time of the day may not optimize its effectiveness.
Choice D reason:
Taking the PPI before bedtime may not provide the best acid suppression throughout the day. Taking it on an empty stomach before a meal is a more appropriate approach.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Eating a large, well-balanced meal during mealtimes may exacerbate abdominal pain for the client with peptic ulcer disease. Instead, the client should be encouraged to eat smaller, more frequent meals to reduce stomach acid production.
Choice B reason:
This statement is correct. Administering prescribed antacids 30 minutes before meals can help reduce stomach acid levels during digestion and alleviate the client's pain.
Choice C reason:
Instructing the client to lie flat immediately after eating is not recommended, as it may increase the risk of reflux and worsen the client's symptoms.
Choice D reason:
Providing the client with spicy foods is not advisable, as they can irritate the stomach lining and worsen symptoms for the client with peptic ulcer disease.
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Family history and genetic factors are considered significant risk factors for peptic ulcer disease. A positive family history increases the likelihood of developing the condition.
Choice B reason:
Excessive consumption of fresh fruits and vegetables is not a risk factor for peptic ulcer disease. In fact, a diet rich in fruits and vegetables is generally associated with a lower risk of developing peptic ulcers.
Choice C reason:
Regular exercise and maintaining a healthy weight are not considered risk factors for peptic ulcer disease. These factors are essential for overall health but are not directly related to ulcer development.
Choice D reason:
While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
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